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Financial & Accounting Forms |
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State
Lottery Trust Fund Application
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FUND: L481U
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DEPT
ID:
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PROJECT/GRANT:
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DATE: |
| REQUESTER: |
DEPT:
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EXT/FAX:
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MAIL
DROP:
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| ACCOUNT USE DESCRIPTION: | TO EXPEND LOTTERY FUNDS |
| SOURCE OF REVENUE: | LOTTERY ALLOCATION FROM THE CHANCELLOR'S OFFICE |
| EXPENDITURE CATEGORIES: | ALLOWABLE LOTTERY EXPENDITURES PER CSU GENERAL GUIDELINES |
| THIS ACCOUNT IS TO REMAIN ACTIVE: | INDEFINITELY |
| SHOULD THIS ACCOUNT NO LONGER BE USED, FUNDS WILL REVERT TO THE FOLLOWING: | |
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FUND: L481U
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DEPARTMENT
ID:* 99999
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PROJECT
/ GRANT: Discretionary
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• RESPONSIBLE PERSON: (Individual responsible
for maintaining account solvency & authorizing expenditures).
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| NAME: | ||
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TITLE: |
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| • DEPARTMENT STATEMENT RECIPIENT: | ||
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• INDIVIDUALS
(at least two), AUTHORIZED TO INCUR EXPENDITURES OR REQUEST DISBURSEMENTS
FROM THIS ACOCUNT.
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| * INDIVIDUALS (AT LEAST 2) AUTHORIZED TO INCUR EXPENDITURES OR REQUEST DISBURSEMENTS FROM THIS ACCOUNT. (AT LEAST ONE (1) INDIVIDUAL MUST HAVE APPROVAL IN SOLAR PURCHASING AND APPROVAL OF THE PROCUREMENT CARD.) | |||||
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Name: |
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Name: | ||
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Title:
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Title:
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| SIGNATURE: ___________________________ | SIGNATURE: ____________________________ | ||||
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Name: |
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Name: | ||
| Title: |
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Title: | |||
| SIGNATURE: ___________________________ | SIGNATURE: ____________________________ | ||||
| *NOTE:
A CHANGE IN DEPARTMENT STATEMENT MUST BE CONVEYED TO TRUST ACCOUNTING , MAIL DROP 8337. SUBMIT A BRIEF MEMO INDICATING THE DEPARTMENT AND REVISED RECEIPIANT. |
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DEAN/DIRECTOR/FINANCIAL MGR. APPROVAL: ________________________________
DATE: _________
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| APPROPRIATE AREA VICE PRESIDENT APPROVAL: _________________________________ DATE: _________ |
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PLEASE
SEND THE COMPLETED FORM TO FINANCIAL & AS
RESOURCE MANGEMENT, MAIL CODE 8337 |
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~ ACCOUNTING
USE ONLY ~
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The
Administrative Service Charge of 2.75% is not being levied on Lottery Funds. |
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| Trust Accounting Approval: _________________________________Date:________ | |
| University Controller Approval:______________________________ Date:________ |